Thomas R Wallace, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C4653 Issued in AR

Practice address

211 McAuley CT
Hot Springs, AR 71913-6314

Phone

(501) 624-0609

Fax

(501) 624-6191

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holt Eye Clinic PLLC

  • Ophthalmology Physician
  • Hot Springs, AR
  • NPI 1437551421

  AR, Ophthalmology

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124021696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136314",
            "telephone_number": "501-624-0609",
            "fax_number": "501-624-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136314",
            "telephone_number": "501-624-0609",
            "fax_number": "501-624-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C4653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace Eye Clinic Optical Shop
• Wallace W. Towle, OD PA
• Brandy Wallace, QBHP
• Fannie Beatrice Wallace, LPC
• Morgan Alita Wallace, LCSW
• Jason Waller, LPC
• Luther Rhett Walley, M.D.
• Walmart Inc.
• Walmart Inc.
• Walmart Inc.

• All providers in Hot Springs, AR
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.